Assuntos
Abdome Agudo/etiologia , Cesárea , Extremidades/patologia , Fasciite Necrosante/patologia , Complicações Pós-Operatórias/patologia , Choque Séptico/diagnóstico , Streptococcus pyogenes , Adulto , Amputação Cirúrgica , Desbridamento , Diagnóstico Diferencial , Extremidades/cirurgia , Fasciite Necrosante/complicações , Fasciite Necrosante/cirurgia , Feminino , Febre/etiologia , Pé/patologia , Gangrena/etiologia , Mãos/patologia , Humanos , Hipotensão/etiologia , Intestinos/diagnóstico por imagem , Intestinos/patologia , Necrose/etiologia , Radiografia , Choque Séptico/complicações , Taquicardia/etiologiaRESUMO
PURPOSE: Relatives of patients in the intensive care unit (ICU) are often dissatisfied with family-physician communication. Our prospective preintervention and postintervention study tested the hypothesis that introducing this informed consent process would improve family satisfaction with the ICU process of care. MATERIALS AND METHODS: We developed a consent form that included an introductory explanation of the main ICU interventions and a description of 8 common procedures in a surgical ICU. We administered it early in the ICU course during a scheduled family meeting. The study was a prospective preintervention and postintervention design. RESULTS: The "Family Satisfaction in the Intensive Care Unit" (FS-ICU) score was higher in the intervention than in the control group (95.4±4 vs 78.2±22, P<.001). The nursing perception of satisfaction with care was also higher in the intervention group (95.8±13 vs 71.9±28, P<.001). CONCLUSION: A bundled informed consent resulted in higher family satisfaction with the process of care in ICU.